Organization
LAKEVIEW NEUROREHAB CENTER MIDWEST, INC.
Active
Other names
Lakeview Specialty Hospital & Reahb
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY OLIVARES (COO & ADMINISTRATOR)
(262) 534-7297
Entity
Organization
Contact information
Practice address
1701 SHARP RD, WATERFORD, WI 53185-5214
(262) 534-7297
(262) 534-7257
Mailing address
1701 SHARP RD, WATERFORD, WI 53185-5214
(262) 534-7297
(262) 534-7257
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6604929
WI
Other
Enumeration date
10/02/2012
Last updated
08/10/2021
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